Organization
RELIANT REHAB SERVICE AND SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN D BURR CPA (DIRECTOR OF OPERATIONS)
(715) 552-3711
Entity
Organization
Contact information
Practice address
2601 MORNINGSIDE DR, EAU CLAIRE, WI 54703-3644
(715) 552-3711
Mailing address
2601 MORNINGSIDE DR, EAU CLAIRE, WI 54703-3644
(715) 552-3711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004000004276301
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41686600
—
WI
Enumeration date
08/14/2006
Last updated
11/01/2010
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